2015 Utah Code
Title 53A - State System of Public Education
Chapter 11 - Students in Public Schools
Part 3 - Immunization of Students
Section 302.5 - Personal belief immunization exemption.

53A-11-302.5. Personal belief immunization exemption.

• (1) The Department of Health shall provide to all local health departments a form to be used by persons claiming an exemption from immunization requirements based on a personal belief opposed to immunization. The form shall include a statement printed on the form and drafted by the Department of Health stating the department's position regarding the benefits of immunization. The form shall require, at a minimum:
  • (a) a statement claiming exemption from immunizations required under Section 53A-11-302, signed by a person listed under Subsection 53A-11-302(3)(c);
  • (b) the name and address of the person who signs the form;
  • (c) the name of the student exempted from immunizations; and
  • (d) the school at which the student is enrolling.

• (2)
  • (a) The Department of Health shall provide these forms to the local health departments.
  • (b) Local health departments shall make the forms available to the public upon request.

• (3)
  • (a) A student enrolling in a school and who claims exemption from immunizations based on a personal belief shall complete the form described in Subsection (1) and provide it to the school officials at the school in which the student is enrolling.
  • (b) Students who prior to July 1, 1992, claimed an exemption from immunizations based on personal beliefs shall prior to December 1, 1992, complete the form described in Subsection (1) and provide it to the appropriate official of the school the student attends.

Enacted by Chapter 129, 1992 General Session